Table of Contents
From the Editor
- Messing with Mother Nature
Even the most effective, cleverly targeted therapies may come with unintended consequences.
Editorial
- Highly resistant HIV: If not a super strain, at least a wake-up call
Even if it is too soon to sound the alarm about a “super strain,” we must redouble our prevention efforts.
Current Drug Therapy
- Management of erectile dysfunction by the primary care physician
The oral selective inhibitors of PDE5 have revolutionized the treatment of erectile dysfunction and made it the province of primary care physicians.
Review
- Varicose veins: Newer, better treatments available
We can now offer patients more convenient and less invasive options for managing their varicose veins.
Uveitis in the internist’s office: Are a patient’s eye symptoms serious?The diagnosis is not always clear. If it is uveitis, physicians must determine if it is caused by infection or is a sign of an underlying condition. Management is best handled collaboratively with an ophthalmologist.
Medical Grand Rounds
- Advances in the treatment of hemorrhagic stroke: A possible new treatment
Recombinant factor VIIa may be the first proven treatment for intracerebral hemorrhage.
- Hypertensive disorders of pregnancy: Overdiagnosis is appropriate
Since the presentation of preeclampsia is variable, a high index of suspicion is warranted.
Im Board Review
- An elderly woman with leg swelling and pain
Six days after she started treatment for deep venous thrombosis, her platelet count drops to 60 × 109/L. What is the cause?
Commentary
“I’m not an exhibitionist, Doctor. I came here to see you, not to be part of a medical encounter group.”
Shared appointments are not for everybody, but we have found they help in providing access for hopelessly backlogged physicians and are usually enjoyable for both the patients and the physician.